Provider Demographics
NPI:1093119901
Name:SOUTH CROSS INC
Entity Type:Organization
Organization Name:SOUTH CROSS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:FATIMA
Authorized Official - Middle Name:
Authorized Official - Last Name:BAPTISTA-PALAIS
Authorized Official - Suffix:
Authorized Official - Credentials:BS, MS
Authorized Official - Phone:860-667-7186
Mailing Address - Street 1:151 CARR AVE
Mailing Address - Street 2:
Mailing Address - City:NEWINGTON
Mailing Address - State:CT
Mailing Address - Zip Code:06111-4331
Mailing Address - Country:US
Mailing Address - Phone:860-667-7186
Mailing Address - Fax:
Practice Address - Street 1:151 CARR AVE
Practice Address - Street 2:
Practice Address - City:NEWINGTON
Practice Address - State:CT
Practice Address - Zip Code:06111-4331
Practice Address - Country:US
Practice Address - Phone:860-667-7186
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-21
Last Update Date:2014-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CTHCA129253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care